在营养不良的老年住院患者中优化的再养与标准护理:在老年急性护理中进行的一项前性,非随机的集群控制研究
Maryam Pourhassan1, Diana Daubert1, Thea Laurentius2
1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr-Universität Bochum, 44625 Herne, Germany.
Journal of clinical medicine
|December 9, 2023
概括
针对老年住院患者的优化营养干预措施与标准护理相比,并没有改善结果. 干预组中营养不良的患者经历了类似或更糟糕的结果,包括跌倒和再入院.
科学领域:
- 老年病的医生 老年病的医生
- 临床营养学 临床营养学
- 内部医学 内部医学
背景情况:
- 营养不良是一种常见的老年综合征,与老年人的健康状况不佳有关.
- 有效的营养干预措施对于改善住院老年患者的健康至关重要.
研究的目的:
- 为了评估一个优化的营养护理协议,营养不良的老年患者入院医院.
- 为了比较个性化营养支持与标准护理的有效性.
主要方法:
- 一项前性,非随机的集群控制研究,涉及干预组的156名患者和对照组的73名患者.
- 患者使用小型营养评估简单表格 (MNA-SF) 进行评估.
- 干预包括个性化营养护理与电解质和微量营养素监测;对照接受标准护理. 主要结局是并发症 (感染,跌倒,再入院,死亡率);次要结局包括功能和流动性.
主要成果:
- 干预组的体重减轻率较高,认知障碍较高,住院时间较长.
- 在住院期间,两组之间没有观察到主要结局的显著差异.
- 在3个月和6个月的随访后,对照组的不良事件较少,特别是跌倒和再入院. 排放后的移动性收益仅在对照组中保持.
结论:
- 测试的营养干预措施没有证明对营养不良住院的老年人标准护理的优越性.
- 缺乏益处的潜在原因包括研究的局限性和对照组的老年病房提供标准护理的高质量.
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